Organization
CEDAR VALLEY PODIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE M MASTELLER (OFFICE MANAGER)
(319) 277-4508
Entity
Organization
Contact information
Practice address
700 11TH ST, CHARLES CITY, IA 50616-3406
(641) 228-5578
Mailing address
4508 CHADWICK RD, CEDAR FALLS, IA 50613-7958
(319) 277-4508
(319) 277-4508
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00423
IA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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